1. Home
  2. Directory
  3. Florida
  4. Gainesville
  5. Licensed Practical Nurse
  6. NPI Profile

CHANDRA JACKSON
NPI 1093080756
Licensed Practical Nurse in Gainesville, FL

Active since March 14, 2012
4300 SW 13TH ST, GAINESVILLE, FL 32608(352) 374-5600(352) 374-5608 Get Directions Write a Review

NPPES record last updated: March 14, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Chandra Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHANDRA JACKSON (NPI 1093080756) is an individual licensed practical nurse in Gainesville, Florida, licensed in Florida (PN5202832) and active in the NPI registry since March 2012.

NPPES Registry Identity

NPI1093080756
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameCHANDRA JACKSON
Location Address4300 SW 13TH STGainesville, FL 32608-4006
Mailing Address4300 Sw 13th StGainesville, FL 32608-4006
Phone(352) 374-5600
Fax(352) 374-5608
Sole ProprietorNo
Enumeration DateMarch 14, 2012
✔ NPI 1093080756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in FL · PN5202832
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
4300 SW 13TH ST, Gainesville, FL 32608
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROGER SMITH
Counselor
4300 SW 13TH ST
GAINESVILLE, FL 32608
Alachua County (352) 374-5600
JOSEPH PALMER
Counselor
4300 SW 13TH ST
GAINESVILLE, FL 32608
Alachua County (352) 374-5600
MABEL MAMBO CHE-TUMA
Registered Nurse
4300 SW 13TH ST
GAINESVILLE, FL 32608
Alachua County (352) 374-5600
CHARNETTE MERRITT
Social Worker (Clinical)
4300 SW 13TH ST
GAINESVILLE, FL 32608
Alachua County (352) 374-5600
KELLY MILLER
Counselor
4300 SW 13TH ST
GAINESVILLE, FL 32608
Alachua County (352) 374-5600
MURIELLE SAINT-JEAN
Case Manager/Care Coordinator
4300 SW 13TH ST
GAINESVILLE, FL 32608
Alachua County (352) 374-5600
SHANNON MOSER
Counselor
4300 SW 13TH ST
GAINESVILLE, FL 32608
Alachua County (352) 374-5600
DOUGLAS CARL
Nurse's Aide
4300 SW 13TH ST
GAINESVILLE, FL 32608
Alachua County (352) 374-5600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chandra Jackson's NPI number?

The NPI number for Chandra Jackson is 1093080756. It was assigned to this individual provider in the NPPES registry on March 14, 2012.

Where is Chandra Jackson located?

Chandra Jackson practices at 4300 SW 13th St, Gainesville, FL 32608. The listed phone number is (352) 374-5600.

What is Chandra Jackson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Chandra Jackson was last updated on March 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.